薛晓红以温阳通络法配合局部微创手术治疗粉刺性乳痈临证经验

Xue Xiaohong’s clinical experience in treating acne mastoid carbuncle with local minimally invasive surgery and traditional Chinese herbal medicines based on the method of warming yang and dredging collaterals

介绍薛晓红教授以温阳通络法中药内服配合局部微创手术治疗粉刺性乳痈的临证经验。诊治过程中重视阴阳辨证、内治外治结合,认为本病系阳虚痰凝、蕴久化热,本虚标实,寒热错杂。内治强调温消、温通、温补,外治注重把握时机、中病即止。并举验案1则。

The clinical experience of Professor Xue Xiaohong in treating acne mastoid carbuncle(AMC)with the internal administration of traditional Chinese herbal medicines(TCHMs)based on the method of warming yang and dredging collaterals and local minimally invasive surgery is introduced in this article.In the process of diagnosis and treatment,Prof.Xue emphasizes yin-yang based syndrome differentiation and the integration of internal and external treatment.As to the pathogenesis of acne mastoid carbuncle,yang deficiency is the root and phlegm coagulation is the tip.The long-term phlegm accumulation transforms into heat,presenting a syndrome of intermingling of cold and heat.As to the internal treatment,Xue focuses on warming-eliminating,warming-dredging and warming-invigorating;As to the external treatment,Xue emphasizes the importance of timing,advising to stop treatment once the disease in controlled.One proved case is presented.